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| Requesting Contractor Information: | ||
| Contractor Name: | [ContractorName] | |
| Contact Name: | [ContractorContact] | |
| Address: | [ContractorAddress] | |
| City: | [ContractorCity] | |
| State: | [ContractorState] | |
| Zip Code: | [ContractorZipCode] | |
| Phone No.: | [ContractorPhoneNo] | |
| Fax No.: | [ContractorFaxNo] | |
| Email: | [ContractorEmail] | |
| Project Information: | ||
| Project Name: | [ProjectName] | |
| City: | [ProjectCity] | |
| State: | [ProjectState] | |
| Zip Code: | [ProjectZipCode] | |
| Architect: | [Architect] | |
| General Contractor: | [GeneralContractor] | |
| Forward Submittals to: | ||
| Company Name: | [CompanyName] | |
| Contact Name: | [CompanyContact] | |
| Address: | [CompanyAddress] | |
| City: | [CompanyCity] | |
| State: | [CompanyState] | |
| Zip Code: | [CompanyZipCode] | |
| Phone No.: | [CompanyPhoneNo] | |
| Fax No.: | [CompanyFaxNo] | |
| Email: | [CompanyEmail] | |
| Submittal Package Contents: | ||
| Mule-Hide Application & Specification Manual: | [MuleHideApplicationSpecificationManual] | |
| Membrane Samples: | [Membrane Samples] | |
| Membrane Fastener Sample: | [Membrane Fastener Sample] | |
| Membrane Attachment Plate Sample: | [Membrane Attachment Plate Sample] | |
| Insulation Fastener Samples: | [Insulation Fastener Samples] | |
| Insulation Attachment Plate Samples: | [Insulation Attachment Plate Samples] | |
| Insulation Sample: | [Insulation Sample] | |
| Sets of Materials Required: | [Quantity] | |